STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HOSPITAL SISTERS HEALTH SYSTEM: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL SISTERS HEALTH SYSTEM (EIN 37-1058692)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-04
IRS object ID
201821249349301572
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-04T18:00:22-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371058692EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL SISTERS HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone2175234747PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14936 LAVERNA ROADAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62707ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL W COTTRELLPersonNm
Person TitleCFOPersonTitleTxt
Signature2018-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL SPURLOCKPreparerPersonNm
PTINP00520729PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL W COTTRELLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14936 LAVERNA ROADAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62707ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$217,208,746GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HSHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee814TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$370,293TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$160,722,950PYProgramServiceRevenueAmt
CY Program Service Revenue$161,759,239CYProgramServiceRevenueAmt
PY Investment Income$3,416,663PYInvestmentIncomeAmt
CY Investment Income$33,278,094CYInvestmentIncomeAmt
PY Other Revenue$9,667,403PYOtherRevenueAmt
CY Other Revenue$22,171,413CYOtherRevenueAmt
PY Total Revenue$173,807,016PYTotalRevenueAmt
CY Total Revenue$217,208,746CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$78,713,463PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,086,009CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$101,137,684PYOtherExpensesAmt
CY Other Expenses$100,431,252CYOtherExpensesAmt
PY Total Expenses$179,851,147PYTotalExpensesAmt
CY Total Expenses$181,517,261CYTotalExpensesAmt
PY Revenues Less Expenses-$6,044,131PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,691,485CYRevenuesLessExpensesAmt
Total Assets BOY$411,625,887TotalAssetsBOYAmt
Total Assets EOY$414,688,342TotalAssetsEOYAmt
Total Liabilities BOY$199,339,607TotalLiabilitiesBOYAmt
Total Liabilities EOY$169,294,456TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$212,286,280NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$245,393,886NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH A HEALTH CARE MINISTRY BY PROMOTING AND SUPPORTING, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$176,538,301ExpenseAmt
Revenue$183,560,359RevenueAmt
DescHOSPITAL SISTERS HEALTH SYSTEM (HSHS) SERVES AS THE PARENT ORGANIZATION FOR VARIOUS INCORPORATED MINISTRY ORGANIZATIONS WITH THE DESIGNATED MEMBERS OF HSHS BEING HOSPITAL SISTERS MINISTRIES, WHICH CONSISTS OF INDIVIDUALS WHO FROM TIME TO TIME ARE DULY APPOINTED BY THE PROVINCIAL COUNCIL OFTHE HOSPITAL SISTERS OF ST. FRANCIS.THE MISSION OF HSHS IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS CONTINUE THEIR HEALING MINISTRY. HSHS PROVIDES PROFESSIONAL AND TECHNICAL EXPERTISE IN THE MANAGEMENT OF THE AFFILIATED ORGANIZATIONS.Desc
Total Program Service Expenses$176,538,301TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document392IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee814EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL W COTTRELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2175234747PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14936 LaVerna RoadAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62707ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEPHEN J BOCHENEK
CHAIR1.30.6Yes (X)Yes (X)$0$0$0
WILLIAM MURRAY
VICE CHAIR1.30.6Yes (X)Yes (X)$0$0$0
SISTER GERTRUDE O'CONNOR OSF
SECRETARY1.30.6Yes (X)Yes (X)$0$0$0
ROBERT B ATWELL
BOARD MEMBER2.30.6Yes (X)$0$0$0
BILL BLUM
BOARD MEMBER1.30.6Yes (X)$0$0$0
STEVEN A HASSEBROCK
BOARD MEMBER (THRU 10/31/16)1.30.6Yes (X)$0$0$0
MATTHEW LAMBERT MD
BOARD MEMBER1.30.6Yes (X)$0$0$0
WILLIAM S LYKE
Board Member1.31.6Yes (X)$0$0$0
JOHN SHEEHAN
BOARD MEMBER1.30.6Yes (X)$0$0$0
MARY STARMANN-HARRISON
President/CEO53.36.8Yes (X)$1,489,338$0$337,346
SR CHRISTA ANN STRUEWING OSF
BOARD MEMBER1.30.6Yes (X)$0$0$0
JANICE WIEGMAN PHD
BOARD MEMBER1.31.6Yes (X)$0$0$0
ANN M CARR
TREASURER54.55.1Yes (X)$359,960$0$312,526
MICHAEL W COTTRELL
CFO53.86.3Yes (X)$877,154$0$229,172
DAVID CARLSON
CHIEF PHYSICIAN EXECUTIVE54.06.0$701,079$0$171,485Yes (X)
MELINDA CLARK
CEO MED GROUP0.060.0$867,117$0$188,433Yes (X)
EVERT J KUIPER
PRES / CEO CENTRAL ILLINOIS DIV0.060.0$814,237$0$169,389Yes (X)
CHARLES LUCORE MD
CEO HSHS ST. JOHN'S HOSPITAL0.060.0$626,244$0$178,803Yes (X)
THERESE B PANDL
PRES / CEO EASTERN WISCONSIN DIV0.060.0$901,796$0$239,493Yes (X)
FRANK L MIKELL
FORMER CHIEF PHYSICIANS EXECUTIVE0.017.0$0$224,006$21,585Yes (X)
LAWRENCE SCHUMACHER
Former COO0.0$622,151$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,259,076TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$224,006TotReportableCompRltdOrgAmt
Total Other Compensation$1,848,232TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K162IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
TEKSYSTEMS
PO BOX 198568ATLANTAGA303848568COMPUTER CONSULTING$4,039,887
SIRIUS COMPUTER SOLUTIONS INC
613 NW LOOP 410 SUITE 1000SAN ANTONIOTX78216COMPUTER CONSULTING$2,782,939
LEIDOS HEALTH LLC
PO BOX 223866PITTSBURGHPA152512866COMPUTER CONSULTING$2,575,832
NEW RESOURCES CONSULTING LLC
1000 N WATER STMILWAUKEEWI532026669COMPUTER CONSULTING$1,780,629STE 950
CATHOLIC HEALTHCARE AUDIT NETWORK LLC
231 S BEMISTON AVECLAYTONMO631051914INTERNAL AUDIT/CONSULTING$1,677,762SUITE 300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
AFFILIATE MGMT FEES561000$154,648,968$154,278,675$370,293
RQIL FEES561000$5,267,982$5,267,982
OTHER AFFILIATE REVENUE561000$1,842,289$1,842,289

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$161,759,239TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,779,201TotalRevenueColumnAmt
Exclusion$27,779,201ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,498,893SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,498,893SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,498,893TotalRevenueColumnAmt
Exclusion$5,498,893ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMINISTRATIVE REVENUE561000$9,189,332$9,189,332
HEALTH CARE PLAN561000$10,415,233$10,415,233
FLEX PLAN561000$397,916$397,916

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,168,932TotalRevenueColumnAmt
Related Or Exempt Func Income$2,168,932RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$22,171,413OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$217,208,746TotalRevenueColumnAmt
Related Or Exempt Func Income$183,560,359RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$370,293UnrelatedBusinessRevenueAmt
Exclusion$33,278,094ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,825,874TotalAmt
Program Services$6,143,287ProgramServicesAmt
Management And General$682,587ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$57,042,220TotalAmt
Program Services$55,332,064ProgramServicesAmt
Management And General$1,710,156ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,539,438TotalAmt
Program Services$4,448,752ProgramServicesAmt
Management And General$90,686ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,095,951TotalAmt
Program Services$7,856,297ProgramServicesAmt
Management And General$239,654ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,582,526TotalAmt
Program Services$4,456,388ProgramServicesAmt
Management And General$126,138ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,265,496TotalAmt
Program Services$1,138,946ProgramServicesAmt
Management And General$126,550ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$866,500TotalAmt
Program Services$779,850ProgramServicesAmt
Management And General$86,650ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$498,359TotalAmt
Program Services$448,523ProgramServicesAmt
Management And General$49,836ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,055,193TotalAmt
Program Services$10,470,002ProgramServicesAmt
Management And General$585,191ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$583,987TotalAmt
Program Services$525,588ProgramServicesAmt
Management And General$58,399ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,781,415TotalAmt
Program Services$3,757,934ProgramServicesAmt
Management And General$23,481ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,239,393TotalAmt
Program Services$35,904,440ProgramServicesAmt
Management And General$334,953ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,126,389TotalAmt
Program Services$2,055,089ProgramServicesAmt
Management And General$71,300ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$445,496TotalAmt
Program Services$426,122ProgramServicesAmt
Management And General$19,374ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,824,817TotalAmt
Program Services$1,723,517ProgramServicesAmt
Management And General$101,300ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$648,731TotalAmt
Program Services$648,174ProgramServicesAmt
Management And General$557ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,832,642TotalAmt
Program Services$34,750,752ProgramServicesAmt
Management And General$81,890ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,672,692TotalAmt
Program Services$4,223,249ProgramServicesAmt
Management And General$449,443ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RECRUITING$119,365$115,201$4,164
DUES & MEMBERSHIPS$311,915$284,205$27,710
EQUIP. RENTAL AND MAINT.$95,526$89,414$6,112

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,063,336TotalAmt
Program Services$960,507ProgramServicesAmt
Management And General$102,829ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$181,517,261TotalAmt
Program Services$176,538,301ProgramServicesAmt
Management And General$4,978,960ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,894,136BOYAmt
EOY$5,726,620EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,638,713BOYAmt
EOY$4,108,543EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$234,585BOYAmt
EOY$214,658EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,280,719BOYAmt
EOY$11,778,405EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$358,899,420LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$206,201,037LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$150,151,202BOYAmt
EOY$152,698,383EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$188,123,931BOYAmt
EOY$200,045,983EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$29,302,601BOYAmt
EOY$40,115,750EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$411,625,887BOYAmt
EOY$414,688,342EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,575,644BOYAmt
EOY$29,933,442EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,016,515EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$160,763,963BOYAmt
EOY$138,344,499EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$199,339,607BOYAmt
EOY$169,294,456EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$206,535,734BOYAmt
EOY$239,493,259EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,750,546BOYAmt
EOY$5,900,627EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$212,286,280BOYAmt
EOY$245,393,886EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$411,625,887BOYAmt
EOY$414,688,342EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,691,485ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,905,257NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,489,136OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations16SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (16 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
SACRED HEART HOSPITAL
3908070603Yes (true)$0$14,647,879
ST ANTHONY'S HOSPITAL
3706612333Yes (true)$0$8,013,665
ST ELIZABETH'S HOSPITAL
3706635673Yes (true)$0$13,741,806
ST FRANCIS HOSPITAL
3706612363Yes (true)$0$2,666,821
ST JOHN'S HOSPITAL
3706612383Yes (true)$0$36,926,516
ST JOSEPH'S HOSPITAL
3712084593Yes (true)$0$3,108,264
ST JOSEPH'S HOSPITAL
3706635683Yes (true)$0$2,213,000
ST JOSEPH'S HOSPITAL
3908105453Yes (true)$0$5,070,718
ST MARY'S HOSPITAL
3706612443Yes (true)$0$9,026,481
ST MARY'S HOSPITAL
3721691813Yes (true)$0$0
ST MARY'S HOSPITAL MEDICAL CENTER
3908186823Yes (true)$0$10,015,568
ST NICHOLAS HOSPITAL
3908084803Yes (true)$0$6,493,054
ST VINCENT HOSPITAL
3908175293Yes (true)$0$29,943,898
ST CLARE MEMORIAL HOSPITAL
3908484013Yes (true)$0$1,403,871
HSHS HOLY FAMILY HOSPITAL
3707927703Yes (true)$0$1,229,159
HSHS Good Shepherd Hospital Inc
3705122903Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total16SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$144,500,700OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (true)OrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12g AMOUNT OF OTHER SUPPORTHOSPITAL SISTERS HEALTH SYSTEM ("HSHS") ADMINISTERS THE WORKERS COMPENSATION FUND, HEALTH CARE TRUST FUND, SELF INSURANCE FUND, FLEX PLAN, AND INVESTMENT FUND FOR HSHS AND THE RELATED HOSPITALS AND EXEMPT ORGANIZATIONS. HSHS UTILIZES THESE FUNDS TO PROVIDE CENTRALIZED MANAGEMENT AND COMPUTER SERVICES TO ITS AFFILIATED HOSPITALS AND OTHER RELATED AFFILIATES. THE HOSPITALS AND OTHER RELATED AFFILIATES PAY A MANAGEMENT FEE TO HSHS FOR THESE SERVICES. THE AMOUNTS REPORTED IN PART I, LINE 11G, COLUMN (VI) REPRESENTS THE AMOUNT OF MANAGEMENT FEES PAID BY EACH LOCAL HOSPITAL SYSTEM.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By NameHospital Sisters Health System (the "Corporation") is an Illinois not-for-profit corporation, which shall be organized and operated exclusively for religious, charitable, educational and/or scientific purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code to promote and support, directly or indirectly, by donation, loan or otherwise, the interests and purposes of the Hospital Sisters of St. Francis, through the Hospital Sisters Ministries ("Members"), a public juridic person of pontifical right, which has been constituted upon the petitions of the Provincial Superior of Hospital Sisters of St. Francis ("Founding Institute") by the decree of the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life dated July 2, 2015 to carry on the health, education, social service and related ministries of the Hospital Sisters of St. Francis and the organizations affiliated with the Hospital Sisters Ministries, provided that such organizations fall within the categories of Section 501(c)(3) and Section 509(a)(l) or Section 509(a)(2) of the Internal Revenue Code. HSHS serves as the parent corporation for several subsidiary corporations and exerts control through various reserved powers. The subsidiary corporations and controlled entities include Hospital Sisters Services, Inc. (HSSI), Hospital Sisters of St. Francis Foundation, Inc. (the Foundation), and Kiara, Inc. HSHS provides overall strategic planning and direction to such corporations through the exercise of reserved powers. HSHS provides consultation, management, and coordination and shared programs for affiliated corporations and other entities engaged in the performance of services in health care and related fields. HSHS also provides religious, educational, charitable and other such activities, services and programs as are related to educational/social service and health care institutions.
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.ENTITY: HSHS GOOD SHEPHERD HOSPITAL, SHELBYILLE, ILLINOIS EIN: 37-0512290 REASON: DURING THE YEAR HOSPITAL SISTERS HEALTH SYSTEM ACQUIRED HSHS GOOD SHEPHERD HOSPITAL, SHELBYVILLE (FKA: SHELBY MEMORIAL HOSPITAL). AS A RESULT OF THIS ACQUISITION, HSHS GOOD SHEPHERD HOSPITAL, SHELBYVILLE HAS BEEN ADDED AS A SUPPORTED ORGANIZATION OF THE FILING ORGANIZATION. AUTHORITY UNDER THE ORGANIZATION'S ORGANIZING DOCUMENT AUTHORIZING SUCH ACTION: IN ACCORDANCE WITH THE FILING ORGANIZATION'S BYLAWS, HOSPITAL SISTERS HEALTH SYSTEM, IN FURTHERANC OF ITS EXEMPT PURPOSES, HAS THE AUTHORITY TO ACQUIRE AND SUBSEQUENTLY ADD SUPPORTED ORGANIZATIONS. HOW ACTION WAS ACCOMPLISHED: SUCH ADDITION WAS ACCOMPLISHED BY AN AMENDMENT OF THE ORGANIZING DOCUMENTS OF HSHS GOOD SHEPHERD HOSPITAL, SHELBYVILLE.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment PoliciesThe overall investment objective of HSHS is to invest its assets in a prudent manner that will achieve an expected rate of return, manage risk exposure, and focus on downside protection. HSHS' invested assets will maintain sufficient liquidity to fund a portion of HSHS' annual operating activities and structure the invested assets to maintain a high percentage of available liquidity. HSHS diversifies its investments among various asset classes incorporating multiple strategies and managers. The HSHS board approves the investment policy statement ("IPS"). HSHS has an Investment Subcommittee comprised of individuals experienced in investments and investment related matters. The Investment Subcommittee oversees the investment program in accordance with the IPS. The Subcommittee includes both those who serve on the HSHS Board of Directors and others. The Subcommittee, management, and the investment consultant develop investment policies, recommend asset allocation and investment manager changes, monitor and review investment performance, risk, and adherence to the IPS.
Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/TrusteeHSHS has the reserved powers to appoint and remove the Board of Directors, appoint and remove any one or more of the Directors of the supported organizations.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/ActivitiesHospital Sisters Health System (HSHS), an Illinois not for profit corporation, provides various services/programs to related supported organizations. HSHS is the parent corporation to its supported organizations and exerts control, in accordance with HSHS's Bylaws, through certain reserve powers with respect to specified actions to be taken by or on behalf of its supported organizations. These reserve powers include, but are not limited to: -Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values or any name, logo, or mark of its supported organizations, -Adopt, approve amendments to, or amend the Articles of Incorporation of its support organizations; and -Adopt, approve amendments to, or amend the Bylaws of it supported organizations.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$507,723DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$14,712OtherActivitiesAmt
Total Lobbying Expenditures$522,435TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYHSHS ENGAGES IN LEGISLATIVE ADVOCACY TO SUPPORT THE ORGANIZATION'S MISSION AND TO PROMOTE HEALTH CARE ACCESS FOR ALL. A PORTION OF DESIGNATED STAFF TIME IS COMMITTED TO ADVOCACY ON LAWS AND REGULATIONS AT THE FEDERAL, STATE, AND LOCAL LEVELS. HSHS ALSO RETAINS SOME OUTSIDE ORGANIZATIONS TO ASSIST WITH THIS LOBBYING. THE DOLLAR FIGURE SHOWN INCLUDES COMPENSATION COSTS FOR THE PORTION OF TIME SPENT BY STAFF MEMBERS ON PUBLIC POLICY ADVOCACY, AMOUNTS PAID TO ORGANIZATIONS THAT ASSIST WITH THIS LOBBYING, AND AN ESTIMATE OF OTHER OFFICE EXPENSES RELATED TO THESE ACTIVITIES. THIS AMOUNT ALSO INCLUDES MAILINGS TO LEGISLATORS, DIRECT CONTACT WITH THEM OR THEIR STAFFS, OTHER OFFICIALS AND THE GENERAL PUBLIC,THESE ARE NOT REPORTED SEPARATELY BECAUSE OF THE SMALL DOLLAR AMOUNTS INVOLVED.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYHSHS ENGAGES IN LEGISLATIVE ADVOCACY TO SUPPORT THE ORGANIZATION'S MISSION AND TO PROMOTE HEALTH CARE ACCESS FOR ALL. A PORTION OF DESIGNATED STAFF TIME IS COMMITTED TO ADVOCACY ON LAWS AND REGULATIONS AT THE FEDERAL, STATE, AND LOCAL LEVELS. HSHS ALSO RETAINS SOME OUTSIDE ORGANIZATIONS TO ASSIST WITH THIS LOBBYING. THE DOLLAR FIGURE SHOWN INCLUDES COMPENSATION COSTS FOR THE PORTION OF TIME SPENT BY STAFF MEMBERS ON PUBLIC POLICY ADVOCACY, AMOUNTS PAID TO ORGANIZATIONS THAT ASSIST WITH THIS LOBBYING, AND AN ESTIMATE OF OTHER OFFICE EXPENSES RELATED TO THESE ACTIVITIES. THIS AMOUNT ALSO INCLUDES MAILINGS TO LEGISLATORS, DIRECT CONTACT WITH THEM OR THEIR STAFFS, OTHER OFFICIALS AND THE GENERAL PUBLIC,THESE ARE NOT REPORTED SEPARATELY BECAUSE OF THE SMALL DOLLAR AMOUNTS INVOLVED.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,936OtherCostOrOtherBasisAmt
Book Value$25,936BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,253,637OtherCostOrOtherBasisAmt
Depreciation$8,045,681DepreciationAmt
Book Value$10,207,956BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,024,241OtherCostOrOtherBasisAmt
Depreciation$619,422DepreciationAmt
Book Value$404,819BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,517,406OtherCostOrOtherBasisAmt
Depreciation$35,520,796DepreciationAmt
Book Value$15,996,610BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$288,078,200OtherCostOrOtherBasisAmt
Depreciation$162,015,138DepreciationAmt
Book Value$126,063,062BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$152,698,383TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Health Care Plan$39,717,834F
Investment in Flex Plan$397,916F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$40,115,750TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED HOSPITALS IT NOTES PAYABLEDesc
Amt$138,344,499Amt
FieldValueIRS element (for citing)
Total Liability$138,344,499TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationHSHS and the Foundation are Illinois not-for-profit organizations as described in Section 501 (c) (3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. Kiara, Inc. is an Illinois for-profit corporation that recognizes income taxes under the asset-and-liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable losses and projections for future taxable losses over the periods for which the deferred tax assets are deductible, management believes it is more likely than not Kiara, Inc. will not realize the majority of the benefits of these deductible differences. Full valuation allowances have been applied against the deferred tax assets attributable to the net operating loss carryforwards not realized as of June 30, 2017 and 2016 in the accompanying consolidated financial statements due to the uncertainty of realization. Hshs recognizes the tax benefit from an uncertain tax position only if it is more likely than not the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2017 and 2016, HSHS does not have any liabilities for unrecognized tax benefits.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY STARMANN-HARRISON
President/CEO$1,139,658$0$293,275$0$56,405$0$314,553$0$22,793$0$1,826,684$0$0$0
LAWRENCE SCHUMACHER
Former COO$0$0$0$0$622,151$0$0$0$0$0$622,151$0$0$0
ANN M CARR
TREASURER$251,800$0$39,616$0$68,544$0$291,816$0$20,710$0$672,486$0$31,485$0
MICHAEL W COTTRELL
CFO$617,558$0$139,028$0$120,568$0$199,280$0$29,892$0$1,106,326$0$83,663$0
FRANK L MIKELL
FORMER CHIEF PHYSICIANS EXECUTIVE$0$223,187$0$0$0$819$0$0$0$21,585$0$245,591$0$0
DAVID CARLSON
CHIEF PHYSICIAN EXECUTIVE$528,656$0$119,519$0$52,904$0$141,567$0$29,918$0$872,564$0$0$0
MELINDA CLARK
CEO MED GROUP$536,680$0$129,205$0$201,232$0$178,065$0$10,368$0$1,055,550$0$173,706$0
EVERT J KUIPER
PRES / CEO CENTRAL ILLINOIS DIV$598,790$0$166,274$0$49,173$0$141,971$0$27,418$0$983,626$0$0$0
CHARLES LUCORE MD
CEO HSHS ST. JOHN'S HOSPITAL$474,031$0$78,215$0$73,998$0$148,885$0$29,918$0$805,047$0$47,721$0
THERESE B PANDL
PRES / CEO EASTERN WISCONSIN DIV$650,406$0$111,977$0$139,413$0$208,461$0$31,032$0$1,141,289$0$96,536$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companionsCOMPANION TRAVEL WAS PAID BY HSHS TO DAVID CARLSON ($1,534) AND THERESE PANDL ($426) DURING THE YEAR. THE FAIR VALUE OF THIS TRAVEL WAS INCLUDED IN THEIR ANNUAL REPORTED INCOME.
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsA TAX GROSS-UP WAS PAID BY HSHS TO MARY STARMANN-HARRISON ($23) DURING THE YEAR. THE FAIR VALUE OF WAS INCLUDED IN HER ANNUAL REPORTED INCOME.
Schedule J, Part I, Line 1a Health or social club dues or initiation feesSOCIAL CLUB DUES WERE PAID BY HSHS ON BEHALF OF MARY STARMANN-HARRISON ($5,831), EVERT KUIPER ($41), CHARLES LUCORE ($1,670) AND THERESE PANDL ($235). THE FAIR VALUE OF THE DUES WERE INCLUDED IN THEIR ANNUAL REPORTED INCOME.
Schedule J, Part I, Line 1a Personal servicesFINANCIAL PLANNING FEES WERE PAID BY HSHS ON BEHALF OF MARY STARMANN-HARRISON ($1,395), MELINDA CLARK ($850) AND EVERT KUIPER ($2,500) DURING THE YEAR. THE FAIR VALUE OF THE SERVICES WERE INCLUDED IN THEIR ANNUAL REPORTED INCOME.
Schedule J, Part I, Line 4a Severance or change-of-control paymentORGANIZATION: HOSPITAL SISTERS HEALTH SYSTEM, INC. EIN: 37-1058692 INTERESTED PERSON: LAWRENCE SCHUMACHER AMOUNT: $619,080 TERMS: COMPENSATION PAID AS A RESULT OF A SEVERANCE FROM THE POSITION OF COO.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planHSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). David Carlson -- $81,139 Ann Carr -- $31,564 Melinda Clark -- $80,139 Michael Cottrell -- $94,085 Evert Kuiper -- $94,865 Charles Lucore -- $56,233 Therese Pandl -- $94,337 Mary Starmann-Harrison -- $218,843 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Ann Carr -- $31,485 Melinda Clark -- $173,706 Michael Cottrell -- $83,663 Charles Lucore -- $47,721 Therese Pandl -- $96,536

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THERESE B PANDLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgPRES / CEO EWDRelationshipWithOrgTxt
Loan PurposeMORTGAGELoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$250,000OriginalPrincipalAmt
Balance Due$214,658BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$214,658TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part II LOANS TO INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationALL LOANS INVOLVING INTERESTED PERSONS ARE COMPLIANT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY TRANSACTIONS REQUIRING BOARD APPROVAL ARE REVIEWED BY AN INDEPENDENT BOARD PRIOR TO BEING APPROVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3 Significant changes in program servicesThe organization's bylaws were amended to reflect a change in the members of the corporation from the individual sisters, who from time to time are duly elected provincial superior and provincial councilors of the American Province of the Hospital Sisters of St. Francis, to Hospital Sisters Ministries, which consists of the individuals who from time to time are duly appointed by the Provincial Council of the Hospital Sisters of St. Francis.
Form 990, Part VI, Line 13 WHISTLEBLOWER POLICYPROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe Members of this corporation shall be Hospital Sisters Ministries, which shall consist of the individuals who from time to time are duly appointed by the Provincial Council of the Hospital Sisters of St. Francis to be members of the Hospital Sisters Ministries and shall have all powers granted to members of not-for-profit corporations under the laws of the State of Illinois, the Corporation's Articles of Incorporation and Bylaws.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyPursuant to Section 2.3 of the HSHS Bylaws, the member, Hospital Sisters Ministries, which shall consist of the individuals who from time to time are duly appointed by the Provincial Council of the Hospital Sisters of St. Francis, shall have the right to appoint and remove the HSHS board of directors, officers of the board and president.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe governance and operations of HSHS (The Corporation) shall be subject in all respects to the Members' right to exercise the reserved powers set forth in the Bylaws with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder (the "Affiliates"). The Members shall have the exclusive right to exercise the Reserved Powers, and the Board of Directors of the Corporation shall have no power or authority over the Corporation which would in any way conflict with the Members' exclusive right to exercise the Reserved Powers. The Reserved Powers shall include all rights granted to the Members of a not-for-profit corporation by law and the right to: (a) Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values or any name, logo, or mark of the Corporation or of any Affiliate; (b) Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c) Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; ( d) Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of Hospital Sisters Services, Inc. ("HSSI"), and the Chairperson and President of the Corporation or of HSSI; ( e) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of HSSI, or the Chairperson and President of the Corporation or of HS SI. ( f) With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease or encumbrance of any real, tangible or intangible property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by the Members; (g) Approve debt incurred by the Corporation or any Affiliate in an amount in excess of limits set from time to time by the Members; (h) Approve deviations by the Corporation from the annual capital and operating budgets in an amount or percentage specified by the Members from time to time; (i) Approve the consolidated strategic plan and goals of the Corporation; G) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; and (n) Adopt policies to implement the Reserved Powers of the Members.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE ORGANIZATION ENGAGES CROWE HORWATH TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE ORGANIZATION'S CFO PERFORMS A THOROUGH REVIEW OF THE RETURN, AND REVIEWS IT WITH THE ORGANIZATION'S CEO, AND/OR SENIOR LEADERS, BEFORE PRESENTING IT IN ITS ENTIRETY TO THE BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyA REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY, (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS), TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. THE COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON SHALL PROMPTLY DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE OF HSHS WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, HSHS SHALL NOT ENGAGE IN, OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION, OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY, AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENT OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE COMPENSATION COMMITTEE ("COMMITTEE") IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES, AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. IHS THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesPLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the publicBOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.
Form 990, Part VII, Section A COMPENSATION ARRANGEMENTHOSPITAL SISTERS HEALTH SYSTEM EMPLOYS THE MANAGEMENT/OFFICERS OF THE VARIOUS ENTITIES WHICH ARE CENTRALLY SUPPORTED FOR THE BENEFIT OF THE HOSPITALS IT SPONSORS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue- Total Revenue: 2168932, Related or Exempt Function Revenue: 2168932, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNTHOSPITAL SISTERS HEALTH SYSTEM CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS," INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE NOT IDENTIFIED TO THE PARTICIPANTS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS FROM AFFILIATES - 21793737; CHANGE IN PENSION FUND STATUS - 2147695; CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION - 150081; EQUITY IN EARNINGS OF KIARA - -32580649;
Schedule O AFFILIATED SYSTEM DISCLOSUREHOSPITAL SISTERS OF ST. FRANCIS FOUNDATION IS AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM(HSHS), A HEALTH CARE MINISTRY THAT INCLUDES 15 HOSPITALS, NUMEROUS COMMUNITY-BASED HEALTH CENTERS AND CLINICS, AND HUNDREDS OF PHYSICIAN PARTNERS ACROSS ILLINOIS AND WISCONSIN. The mission of HSHS is "to reveal and embody Christ's healing love for all people through our high-quality Franciscan health care ministry." We live our mission by providing holistic healing to all who seek our care, as well as through Community Benefit. In tandem with others in the communities we serve, our Community Benefit initiatives are strategically increasing access to care, improving the health status of residents, and increasing medical education and knowledge. In FY2017, our hospitals responded to the top needs identified in each of their most recent Community Health Needs Assessments (CHNAs). The information gathered from these assessments was used to develop or enhance Community Benefit programs and services to best address community health needs. Among the priority needs identified in the most recent CHNA process were access to care; alcohol, tobacco, and other drug abuse; chronic disease prevention and management; nutrition/wellness; mental health; and oral health. HSHS hospitals are proactively addressing these and other needs through patient, provider and community education, preventative screenings, self-management classes, and new or enhanced clinical services. In FY2017, HSHS collectively provided $197.6 million in Community Benefit (9.2% of total hospital expenses). This amount included $26.0 million provided for Financial Assistance (a.k.a. Charity Care) and $128.6 million for unreimbursed care provided as part of the Medicaid program. In addition, HSHS hospitals committed significant resources to treat Medicare patients. The cost of providing services to primarily elderly beneficiaries of the Medicare program - in excess of governmental and managed care contract payments - was $205.9 million. HSHS hospitals also recorded $40.9 million in uncollectible accounts. While HSHS does not count the latter two amounts as Community Benefit, they nonetheless reflect our commitment to serving all persons in need of care. In addition to the dollars invested in our Community Benefit programs, HSHS continues to reinvest any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services in our communities. By doing so, we ensure our ability to meet the ongoing demand for high quality, efficient and easily accessible health care. Improve access to health care As a Franciscan health care ministry, HSHS is deeply committed to serving those who are most in need with a special focus on the poor and vulnerable. We not only provide care to every patient who walks through our doors, but also reach out beyond the walls of our hospitals and clinics to care for those in our communities. Our efforts to ensure residents in the communities we serve receive the right care, at the right time, and in the right setting involve collaborating with others to achieve this goal. Across our two-state System, there are numerous examples of partnerships with departments of public health, other health care facilities and community and social service organizations to enhance access to care for those in need. In FY2017, HSHS and our 15 hospitals dedicated Community Benefit resources to educate uninsured persons about enrollment opportunities in affordable health care coverage and to facilitate the enrollment process. Studies have shown that people without insurance are more likely to postpone care and develop more severe and expensive conditions than their insured counterparts. It is for this reason that the Catholic Church, Catholic health care and HSHS have long promoted "coverage and access for all." HSHS and our 15 hospitals in partnership with local health departments, social service agencies and other health care providers played a vital role in educating eligible people in their service areas, by referring people to Certified Application Counselors and/or in enrolling them in the health insurance exchanges, or by helping them to obtain coverage through Medicaid expansion. In southern Illinois, HSHS St. Elizabeth's Hospital in Belleville is committed to improving access to health care services by assisting eligible patients to enroll in health care plans. In FY2017, more than 3,200 patients were screened and 74% met eligibility criteria and were enrolled in Medicaid. Access to health care is not limited to insurance coverage and access to primary care providers. In FY2017, the hospital assisted patients with access to medications, durable medical equipment, and transportation including more than $5,600 in cab and bus tickets for patients and $14,000 for patients who needed transfer by ambulance. In response to its FY2015 CHNA, HSHS St. John's Hospital in Springfield, Illinois established a community health worker program to increase access to health care and coordination of care for residents of the Enos Park Neighborhood. The hospital also helped establish an Enos Park Neighborhood Advisory Council and Providers Alliance as part of the access collaborative to drive behavior changes and improve health outcomes. In the first three years, the program has realized 93% engagement of 300 clients. Services rendered include basic needs and health care access. Sixteen formally homeless individuals or families were placed in affordable, safe housing. Of the 35 parolees in the program, the recidivism rate was only 18% compared to 60% nationwide. The only reason participating parolees went back to prison was because of lack of a job or housing. One-hundred percent of our clients saw a primary care provider and 84% were connected to a medical home. This program is being replicated in a second location in Sangamon County's eastside where our most vulnerable, low-income and underserved populations exist. Through the support of HSHS St. Mary's Hospital Medical Center and St. Vincent Hospital in Green Bay, the Oral Health Partnership (OHP) continues to expand to communities throughout Brown County, providing dental care to 0 - 19 year olds who are uninsured or underinsured. In FY2017, more than 12,000 general dentistry procedures, including exams, X-rays, cleanings, fillings, and crowns, were completed for youth in Brown County's smaller, less urban communities, and more than 1,300 preventative sealants were applied. OHP serves more than 9,000 kids each year through three fixed-site clinics and the traveling school-based program. In January 2017, OHP's West location was opened in response to data showing an unmet need of medical assistance children in the Ashwaubenon area. This clinic, along with the traveling school-based team, will help OHP and HSHS reach the goal of expanding services to a wider population of Brown County children in need. HSHS St. Francis Hospital in Litchfield, Illinois collaborated with Lewis & Clark Community College and local dental providers to bring the College's mobile dental health unit to the Litchfield area; the unit provides free or low cost dental exams and screenings, x-rays and hygiene services. In addition, three local dental providers also participated by opening their offices and donating time, staff and supplies to provide either a free filling, extraction or hygiene services. Beginning in 2015, the hospital collaborated with Catholic Charities to launch a dental voucher program. Five dentists in Macoupin and Montgomery counties participate in the program, which covers an initial exam and x-rays, one tooth extraction and up to three fillings per year per individual. The percentage of total emergency department visits related to dental issues has decreased from 2.2% in 2011 to .95% in 2016 because of this collaboration. In southeast Illinois, area residents can get help filling a prescription through the long-term collaboration between HSHS St. Anthony's Memorial Hospital in Effingham and Catholic Charities. In FY2017, St. Anthony's Memorial Hospital helped to underwrite the cost of prescription medications for 246 residents. St. Anthony's Memorial Hospital and Catholic Charities believe no one should be without prescriptions because of the inability to pay.
SCHEDULE O AFFILIATED SYSTEM DISCLOSURE (CONTINUED A)HSHS Good Shepherd Hospital in Shelbyville, Illinois increases access to mammograms, diagnostic screenings and breast cancer treatments for women through the hospital's Pink Ribbon Program and Vicky Wagner Breast Cancer Assistance Fund. The Pink Ribbon Program covers the costs of mammograms or diagnostic screenings for women living in rural areas who are under or uninsured. The Vicky Wagner Breast Cancer Assistance Fund assists women living in Shelby County who are receiving treatment for breast cancer with out of pocket expenses such as wigs, transportation to treatment appointments, child care, meals or other expenses that insurance doesn't cover. In southwest Illinois, HSHS St. Joseph's Hospital in Highland provides enhanced offerings for senior population based on their CHNA. "Senior Renewal" is an outpatient counseling program for senior adults who may be facing emotional and physical problems unique to the aging process such as feelings of loneliness, isolation and anxiety. Clients receive a comprehensive level of treatment without inpatient hospitalization through counseling strategies and education. In addition, St. Joseph's Hospital is the lead collaborator in the Highland Area Meals on Wheels Program. In April 1977, the hospital partnered with the now defunct Highland Area Council of Churches to introduce the Meals on Wheels program. Today, St. Joseph's partners with the civic organization Highland Area Meals on Wheels Program to prepare and deliver nutritious meals to the elderly, those who are recuperating from illness or hospital stays, or anyone wishing to participate in the program within a 15-mile radius (cumulative population 20,000+) of the hospital. Annually, approximately 16,896 meals are delivered in eight communities. In addition to programs designed to increase access to care, HSHS makes sure that those who need financial assistance receive it. HSHS's Financial Assistance (Charity Care) policy was modified to offer a 45 percent self-pay discount to all patients who register without insurance. HSHS Financial Assistance programs have a sliding scale, in some instances providing up to a 55 percent reduction off billed charges if an uninsured patient's family income level is determined to be above 500 percent but equal to our less than 600 percent of the current Federal Poverty Guidelines. HSHS hospitals waive all charges for patients below 200 percent of the Federal Poverty Levels. Counselors are available in our hospitals to explain our financial assistance policy to patients, provide them with assistance in filling out a simple application form, or help them enroll in publicly funded health care programs. Enhance community health As part of our mission to embody Christ's healing love for all people, we understand that we have a responsibility to improve the overall quality of life in our communities by supporting initiatives that promote health and wellness. We recognize we are most successful when we work together with a wide array of public and private organizations that share our commitment to improving lives. By doing so, we maximize our efforts and reduce the duplication of services. To ensure the health care needs of all are being met, HSHS hospitals also understand we need to listen closely to the residents of the communities we serve. In turn, 13 HSHS hospitals conducted Community Health Needs Assessments (CHNAs) in FY2015. HSHS St. Clare Memorial Hospital in Oconto Falls, Wisconsin, who affiliated with HSHS in September 2015, and HSHS Holy Family Hospital in Greenville, Illinois, who affiliated with HSHS in May 2016, both completed their CHNAs in FY2014. HSHS Good Shepherd Hospital in Shelbyville, Illinois who affiliated with HSHS in January 2017, conducted its most recent CHNA in FY2016. HSHS hospitals are using the information gathered from their most recent CHNAs to develop new, and enhance existing, programs and services that best address the needs of the community. Priority health care needs were identified in the FY2015 CHNAs including access to health care services; alcohol, tobacco, and other drug abuse; chronic disease prevention and management; nutrition/wellness; mental health; and oral health. HSHS hospitals are addressing these and other needs by proactively offering educational opportunities, preventative screenings, and new or enhanced clinical services. In many cases, the hospitals collaborate with other hospital facilities, local departments of public health and community organizations to address identified needs. In western Wisconsin, HSHS Sacred Heart Hospital in Eau Claire and HSHS St. Joseph's Hospital in Chippewa Falls are taking the lead to educate the public about mental health issues and treatment, the stigma associated with mental health, and the recognition of mental health issues. Under the umbrella of 3D Community Health, the hospitals led suicide prevention activities across multiple sectors in collaboration with the Chippewa Health Improvement Partnership in FY2017. Strategies included community trainings of an evidence-based suicide prevention program, QPR (question, persuade & refer), and a variety of events, activities and displays pertaining to suicide prevention. Efforts are measured by the county suicide rate, inventory of change in community knowledge, stigma and behaviors, as well as participation in the county suicide death review team to monitor for potential trends and respond accordingly. 3D formed a suicide death review team in both Eau Claire and Chippewa Counties. These teams review details of each suicide to look for trends and key pieces of information that may guide efforts in targeting certain geographic areas, certain age or gender, etc. 3D is also focused on increasing community awareness and knowledge of the factors that offer protection from suicidal behaviors and that promote wellness and recovery in collaboration with multiple community partners on an ongoing basis. One strategy is to promote effective programs and practices i.e. adverse childhood experiences (ACEs) that increase protection from suicidal risk and promote connectedness among residents of Chippewa and Eau Claire Counties. At the Children, Health and Family Summit that 3D Community Health coordinated in partnership with the County Department of Human Services in FY2017, 99 of the 190 attendees took a pre-and- post-event survey about ACEs and brain development. There was a 24% increase in the percentage who strongly agreed that exposing infants to stress can actually cause them to develop a smaller brain post-event compared to pre-event survey. HSHS Holy Family Hospital in Greenville, Illinois has sponsored a multi-faceted health fair for decades, one of the largest Health Fairs in the east St. Louis metropolitan area. The event provides many free health tests in addition to five, low-cost comprehensive blood tests. In FY2017, more than 2,000 blood tests were performed as part of the hospital's annual Health Fair. Participants could choose from a comprehensive blood test, prostate specific antigen blood test (PSA), Hemoglobin A1-C, Vitamin D blood test, Colovantage or a combination of the five blood tests. The cost incurred by HSHS Holy Family Hospital for offering these discounted services was $1,431,105. In addition to the services provided on the day of the Health Fair, the hospital also performs the low-cost blood tests at several off-site locations including area schools, businesses, and manufacturers. Through the years, life-threatening and serious medical conditions have been discovered through testing performed in association with the Health Fair. Mary's Garden is a community teaching garden located on the campus of HSHS St. Mary's Hospital in Decatur, Illinois. The goals of the community garden are to improve community health and food accessibility for those in need, teach the younger generation sustainable gardening and offer a comprehensive, place-based approach to community health improvement. In FY2017 Mary's Garden became a living classroom for Eisenhower High School students who use the garden for interactive instruction on health and nutrition, science, mathematics, ecology and agriculture. Mary's Garden also provided opportunities for two apprentices to develop competencies and self-confidence to move into rural and urban farming/gardening leadership roles and launched a community-supported agriculture (CSA) program for colleagues. This created two jobs and is providing a model for turning dilapidated city lots into urban gardens. The hospital has engaged City officials about a job creation program and neighborhood revitalization.
SCHEDULE O AFFILIATED SYSTEM DISCLOSURE (CONTINUED B)In FY2017, HSHS St. Nicholas Hospital in Sheboygan supported a case manager position to provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) services at Lakeshore Community Health Care (LCHC) in Sheboygan. First year funding by the hospital in FY2016 was used to create the position. In FY2018, the position will be solely funded by LCHC. SBIRT is an evidence-based practice designed to identify, reduce and prevent problematic use, abuse and dependence on drugs and alcohol. The creation of the SBIRT case manager position stems from Healthy Sheboygan County's 2020 Community Health Implementation Plan which was created following the Community Health Needs Assessment in 2014. Studies show that excessive use of alcohol and other drugs contributes to more than 70 diseases and leads to expensive, long-term health problems. Through early intervention, provided by the SBIRT case manager, the plan is to reduce costs and decrease the severity of drug and alcohol abuse. Advance medical knowledge HSHS works to advance medical knowledge by supporting research initiatives and educational opportunities. In FY2017, HSHS hospitals and affiliated physician groups contributed more than $21.5 million toward research and health professions education. Highlights of this commitment include subsidizing medical school residency programs, offering ongoing medical education to physicians and clinicians, and providing job shadowing programs for high school students. In southern Illinois, HSHS St. Joseph's Hospital in Breese, hosted members of the Health Occupations Students of America onsite to learn about job opportunities in health care from health care professionals. St. Joseph's also provided clinical experience for Kaskaskia College students enrolled in nursing, physical therapy and radiology programs. Pharmacy students have also completed their clinical training at St. Joseph's Hospital. In FY2017, the program served more than 200 students. In FY2017, HSHS St. Mary's Hospital Medical Center and HSHS St. Vincent Hospital in Green Bay invested more than $636,000 to provide onsite training and education of nurses and allied health professionals. In addition, the hospitals have been collaborating with the Medical College of Wisconsin to establish a community medical education program in Green Bay and to provide financial support to offset operating costs in FY2017. Also in eastern Wisconsin, HSHS St. Clare Memorial Hospital in Oconto Falls provided training for local paramedics and emergency response personnel through the hospital's EMS liaison program. Mission-driven and strategically implemented Community Benefit is an integral part of Hospital Sisters Health System's Mission. Our commitment to Community Benefit arises from our Catholic identity, Mission and Core Values shared by 14,000 colleagues across Illinois and Wisconsin. Through our work to improve access to health care services, enhance community health, advance medical knowledge, and relieve or reduce the burden of government, we believe we have made a positive difference in the quality of lives of tens of thousands of people in Illinois and Wisconsin in FY2017. As a Catholic health care ministry, HSHS is concerned with the dignity of all persons, the common good, and the stewardship of resources. We advocate for health care for all and work to improve social conditions that lead to improved health and well-being. We engage partners in our communities to improve health and quality of life and to reduce duplication. Working side- by-side with many faith communities, HSHS remains dedicated to our common purpose of compassionate care for all people.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KIARA CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROADSPRINGFIELDIL62707261417684HEALTHCAREIL-$1,762,307$6,257,513HSSI
PHYSICIAN CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROADSPRINGFIELDIL62707371668647HEALTHCAREIL-$950,689$8,580,781KCIN
HSHS ACO LLC
4936 LAVERNA ROADSPRINGFIELDIL62707320465666HEALTHCARE & SOCIAL ASSISTANCEIL-$515,297$146,855KCIN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HOSPITAL SISTERS OF ST FRANCIS FOUNDATION
4936 LAVERNA ROADSPRINGFIELDIL62707371186514HEALTHCAREIL501(c)(3)7HSHSYes (true)
HSHS SELF INSURANCE TRUST
4936 LAVERNA ROADSPRINGFIELDIL62707371120626INSURANCEIL501(c)(3)Type IHSHSYes (true)
HOSPITAL SISTERS HEALTHCARE WEST INC
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729510157933HEALTHCAREWI501(c)(3)Type IHSSIYes (true)
SACRED HEART HOSPITAL
990 WEST CLAIREMONT AVENUEEAU CLAIREWI54701390807060HEALTHCAREWI501(c)(3)3HSSIYes (true)
ST ANTHONY'S HOSPITAL
503 N MAPLE STREETEFFINGHAMIL62401370661233HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST ELIZABETH'S HOSPITAL
211 SOUTH THIRD STREETBELLEVILLEIL62220370663567HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUESHEBOYGANWI53081390808480HEALTHCAREWI501(c)(3)3HSSIYes (true)
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREETSPRINGFIELDIL62769370661238HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANEBREESEIL62230371208459HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST JOSEPH'S HOSPITAL
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729390810545HEALTHCAREWI501(c)(3)3HSSIYes (true)
ST MARY'S HOSPITAL
1800 E LAKE SHORE DRIVEDECATURIL62521370661244HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST MARY'S HOSPITAL
111 SPRING STREETSTREATORIL61364362169181HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST MARY'S MEDICAL CENTER
1762 SHAWANO AVENUEGREEN BAYWI54303390818682HEALTHCAREWI501(c)(3)3HSSIYes (true)
ST VINCENT HOSPITAL
835 S VAN BURENGREEN BAYWI51301390817529HEALTHCAREWI501(c)(3)3HSSIYes (true)
ST JOSEPH'S HOSPITAL
12866 TROXLER AVENUEHIGHLANDIL62249370663568HEALTHCAREIL501(c)(3)3HSSIYes (true)
ST FRANCIS HOSPITAL
1215 FRANCISCAN DRIVELITCHFIELDIL62056370661236HEALTHCAREIL501(c)(3)3HSSIYes (true)
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163402HEALTHCAREIL501(c)(3)Type III-FIHSHSYes (true)
HSHS MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVESPRINGFIELDIL62703263956318HEALTHCAREIL501(c)(3)Type III-FIHSSIYes (true)
HSHS WISCONSIN MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVESPRINGFIELDIL62703264515959HEALTHCAREWI501(c)(3)Type III-FIHSSIYes (true)
ORANGE CROSS AMBULANCE INC
919 ASHLAND AVENUESHEBOYGANWI53081391860942HEALTHCAREWI501(c)(3)10ST NICHOLASYes (true)
UNITY LIMITED PARTNERSHIP
2366 OAK RIDGE CIRCLEDE PEREWI54115391750729HEALTHCAREWI501(c)(3)10HSSIYes (true)
PRAIRIE EDUCATION & RESEARCH COOPERATIVE
317 NORTH 5TH STREETSPRINGFIELDIL62701371157915HEALTHCAREIL501(c)(3)4HSSIYes (true)
ST CLARE MEMORIAL HOSPITAL
855 S MAIN STREETOCONTO FALLSWI54154390848401HEALTHCAREWI501(c)(3)3HSSIYes (true)
HSHS HOLY FAMILY HOSPITAL
200 HEALTHCARE DRIVEGREENVILLEIL62246370792770HEALTHCAREIL501(c)(3)3HSSIYes (true)
UTLAUT MEMORIAL FOUNDATION
200 HEALTHCARE DRIVEGREENVILLEIL62246371140166FUNDRAISINGIL501(c)(3)Type IIHSSIYes (true)
SHELBY MEMORIAL HOSPITAL FOUNDATION INC
200 SOUTH CEDAR STREETSHELBYVILLEIL62565371294401FUNDRAISINGIL501(c)(3)Type IHSSIYes (true)
HSHS GOOD SHEPHERD HOSPITAL INC
200 SOUTH CEDAR STREETSHELBYVILLEIL62565370512290HEALTHCAREIL501(c)(3)3HSSIYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctAddress Line2USAddress/AddressLine2Txt
MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER
4000 NORTH ILLINOIS STREETSWANSEAIL62226371312961HEALTHCAREILST ELIZABETH'SRelated$674,729$4,464,307falsefalse0.5
PRAIRIE HEART INSTITUTE ST JOHN'S
800 EAST CARPENTER STREETSPRINGFIELDIL62769371321197HEALTHCAREILHSHSRelated$0$8,000falsefalse1
PAIN CENTER OF WISCONSIN
4131 W LOOMIS ROADGREENFIELDWI53221263155343HEALTHCAREWIST VINCENTRelated$527,290$608,459falsefalse0.5SUITE 300
PAIN CENTER OF WISCONSIN - OCONTO FALLS LLC
4131 W LOOMIS ROADGREENFIELDWI53221364717036HEALTHCAREWIST CLARERelated$82,878$213,434falsefalse0.5SUITE 300
CARPENTER STREET HOTEL LLC
525 NORTH SIXTH STREETSPRINGFIELDIL62702364128127HOTELILLASANTE INCN/A0
SPRINGFIELD URGENT CARE REAL ESTATE LLC
PO BOX 19456SPRINGFIELDIL62794030413258RENTAL REAL ESTATEILLASANTE INCN/A0
PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC
4936 LAVERNA ROADSPRINGFIELDIL62707261479945MEDICALILHSHSRelated-$7,119$10,276falseYes (true)1

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
KIARA INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163401HEALTHCAREILHSHSC Corporation-$32,734,440$34,421,7141Yes (true)
LASANTE WISCONSIN INC
4936 LAVERNA ROADSPRINGFIELDIL62707391572196HEALTHCAREILKIARA INCC CorporationYes (true)
LASANTE INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163400HEALTHCAREILKIARA INCC CorporationYes (true)
PRAIRIE CARDIOVASCULAR
619 EAST MASON SUITE 4P57SPRINGFIELDIL62701371071858HEALTHCAREILKIARA INCC CorporationYes (true)
PREVEA HEALTH SERVICES INC
2710 EXECUTIVE DRIVEGREEN BAYWI54304391839351HEALTHCAREWIHSSIC Corporation$260,762$45,933,1220.5Yes (true)
PREVEA CLINIC INC
2710 EXECUTVE DRIVEGREEN BAYWI54304391839349HEALTHCAREWIPHSIC CorporationYes (true)
RENAISSANCE QUALITY INSURANCE LTD
980669953INSURANCEHSSIC Corporation$0$120,349,3241Yes (true)PO BOX 1159GRAND CAYMANCJKY11102CJ
OJV INC
4936 LAVERNA ROADSPRINGFIELDIL62707460873384HEALTHCAREILLASANTE INCC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KIARA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$33,255,000InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2 TRANSACTIONS WITH RELATED PARTIESFormAndLineReferenceDesc
ExplanationANY TRANSACTIONS LISTED ON SCHEDULE R, PART V, LINE 1 AND NOT ON SCHEDULE R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION. FOR ALL ORGANIZATIONS REPORTED AS 512(B)(13) CONTROLLED IN SCHEDULE R, PART II, PLEASE SEE SCHEDULE A, PART IV FOR THE ONLY TRANSACTIONS BETWEEN THESE ORGANIZATIONS. HOSPITAL SISTERS HEALTH SYSTEM (HSHS) CHARGES A MANAGEMENT FEE TO THE RELATED ORGANIZATIONS FOR SERVICES RENDERED IN FULFILLING THE MISSION OF HSHS.ExplanationTxt